白癜风者,身、面、颈项、皮肤生紫白癜,并不痛痒。此亦风邪搏于肤腠之间,气血不和而成
。紫癜风者,多在四肢,或身上有紫疙瘩,此为风热壅结而然。治法,紫白同方。
主方 苍术(制) 苦参 何首乌 荆芥穗(等分)上为丸。服法与厉风主方丸相同,癜
风亦可服。
四神散 治紫、白癜风。
雄黄 雌黄 硫黄 白矾(等分)
上为末,先以汤浴汗出,肥皂擦癜处洗净,次用生姜(切断尽碎)蘸药擦患处(过三日又洗又
擦,五次愈。)
简便方 癜风。
硫黄为末,鸡蛋清调涂布上晒干(汗出时布擦患处。)
又雄黄 硫黄 黄丹 密陀僧 南星(等分)为末,照前法涂布(擦汗斑亦效。)
按此证有三因之别焉。如患疮疡日久,外着白痂,闭塞其气,阳热内郁,热极生风为内因。有
诸疮不瘥,艾火灸法,热毒内攻,甚而生风,为不内外因。有偶为刀剪等伤,或跌磕破损,或生疮
毒,淋洗敷药见风为外因。外受者多。伤处或如豆粒些许,忽为风邪袭之肌表,即传播经络,寒热
更作,手足抽掣,战掉不安;渐至身体反张如弓,口噤牙紧,饮食不纳,肠腹大痛,邪深入脏,七
日而死。若药能中病,十生二、三。往往患者必不虑此。倘医非经历,误作他病治理,十无一生。
有富贵家,至死终不知何病者多矣。脉浮太阳,长而有力阳明,弦属少阳,沉数为里,治亦类中风
、伤寒也。
主方 苍术(四钱) 川乌(二钱) 草乌 白芷(各一钱) 防风(五分) 川芎(五
分) 天麻 细辛(各三分) 全蝎(二分)上分为二剂煎服。或为细末,每服二钱,热酒调下;
被盖出汗,未效再服。
玉真散 治破伤手足,打扑损伤。
南星 防风(等分) 上末,生姜汁同酒调服二钱,再敷伤处。牙紧反张,童便酒下。
灵砂丹 治破伤风,及一切风。
威灵仙 黑丑(取头末) 苍术(各五钱) 何首乌 香附(各六钱) 乳香(另研) 川乌
去皮尖) 没药(研,各三钱) 朱砂(二钱为末) 皂荚(炙去皮弦)
上为末,皂荚打碎,用酒二升半,春秋三日,夏二、冬七日,浸汁打糊煎(亦可为丸,每百丸酒
下。)
如圣散 治破伤,止血定痛。
苍术(三两) 川乌(炮去皮脐) 草乌(炮。各一两) 蝎梢(微炒,二钱五分) 天麻
细辛 川芎 两头尖(去皮) 白芷(各七钱) 防风(一两) 雄黄 乳香(各二钱)
上为细末,每服一钱,不拘时,酒调下。
独圣散 五六日身反牙紧。
蝉蜕(五钱)为末,好酒一盏,煎滚服。
羌活防风汤 治破伤风,初盛在表。
羌活 防风 川芎 本 当归 芍药 地榆 细辛 甘草
上水煎服。大便秘加大黄下之;服后汗出不止,加白术、黄 、防风(各二钱);未效,邪入
里,芎黄汤。
芎黄汤 邪传里,大便秘,取利为痊。
川芎 黄芩(各二钱) 甘草(五分)
水煎服。未利去甘草,加羌活一钱、大黄三钱。
简便方 治破伤风。
蜈蚣(干者一条,炙)为末,擦牙吐出涎,安。
又僵蚕(直者) 炒研末,姜汁调五分,灌。多调,以鸡翎扫疮口,勿令干。
又 草乌为末,每五分酒下。
又 蝎梢七个为末,热酒下。
又 川乌、半夏、南星、天麻(等分为末,)每服一钱,黑豆炒焦,淋酒调服。
歌曰∶(半两当归蝎二钱,合来捶碎酒同煎。直须软烂和渣嚼,一切伤疮保万全。鱼胶能治破
伤风,先煮一钱疮口封。两许烧灰调酒服,麝香少许立成功。)
一人臂生小疖,挑破出血感风,说有大害,不信。夜觉臂如水浸,证渐危,大剂峻攻,忽胸背
肿大如碗。又制真人活命饮十帖,调牛黄作三日服,安。
白癜风,是指在身体、面部、颈部及皮肤上出现紫色或白色的斑片,且不伴有疼痛和瘙痒。这是由于风邪侵袭并搏结于皮肤腠理之间,导致气血运行不和而形成的。
紫癜风,多发生在四肢,或者身上出现紫色的疙瘩,这是由风热之邪壅滞结聚所致。治疗方法上,紫癜风和白癜风可以使用相同的方剂。
主方:苍术(制)、苦参、何首乌、荆芥穗(以上药材等分)。将上述药材制成丸剂。服用方法与治疗麻风病的主方丸剂相同,白癜风也可以服用此药。
四神散:用于治疗紫色和白色癜风。
药材:雄黄、雌黄、硫黄、白矾(以上药材等分)。
用法:将药材研成粉末。先用热水洗澡至出汗,用肥皂清洗患处使其洁净,然后用生姜(切断并捣碎)蘸取药粉擦拭患处。(每隔三天再洗再擦,经过五次治疗即可痊愈。)
简便方:治疗癜风。
将硫黄研成粉末,用鸡蛋清调和后涂抹在布上,晒干。在患者出汗时,用这块布擦拭患处。
另一种方法:雄黄、硫黄、黄丹、密陀僧、南星(以上药材等分),研成粉末,按照前面的方法涂抹在布上(擦拭汗斑也有效。)
按语:此证候有三种不同的病因区别。如果是患疮疡日久,外部附着白色痂皮,闭塞了毛孔气息,导致阳热在体内郁积,热极而生风,这属于内因。如果有各种疮疡不愈,使用艾火灸法,导致热毒向内攻伐,甚至生风,这属于不内外因。如果是偶然被刀剪等利器所伤,或者跌倒磕碰破损,或者生疮毒,淋洗敷药时受风,这属于外因。其中外感者较多。受伤处如果像豆粒大小,忽然被风邪侵袭肌表,随即传播至经络,出现寒热交替发作,手足抽搐掣动,战栗不安;逐渐发展到身体向后反张如弓形,牙关紧闭,无法进食,肠腹剧烈疼痛,邪气深入脏腑,七日后死亡。如果药物能对症,十人中可救活二三人。往往患者必定不会考虑到这种后果。倘若医生没有丰富的经历,误当作其他疾病治疗,十人中没有一人能存活。富贵人家中,直到死也不知道是什么病的很多。脉象浮为太阳经受邪,脉长而有力为阳明经受邪,脉弦属少阳经受邪,脉沉数为里证,治疗也类似于中风、伤寒。
主方:苍术(四钱)、川乌(二钱)、草乌、白芷(各一钱)、防风(五分)、川芎(五分)、天麻、细辛(各三分)、全蝎(二分)。将上述药材分为两剂煎服。或者研成细末,每次服用二钱,用热酒调服;服药后盖被出汗,若未见效可再次服用。
玉真散:治疗破伤手足,以及跌打损伤。
药材:南星、防风(以上药材等分)。
用法:研成粉末,用生姜汁同酒调服二钱,然后再敷在伤口处。如果出现牙关紧闭、身体反张,用童便和酒送服。
灵砂丹:治疗破伤风,以及一切风症。
药材:威灵仙、黑丑(取头末)、苍术(各五钱)、何首乌、香附(各六钱)、乳香(另研)、川乌(去皮尖)、没药(研,各三钱)、朱砂(二钱,研末)、皂荚(炙烤去皮弦)。
用法:将药材研成粉末,将皂荚打碎,用酒二升半,春秋季浸泡三日,夏季二日,冬季七日,浸出汁液后打糊煎煮(也可以制成丸剂,每次一百丸,用酒送服。)
如圣散:治疗破伤,止血定痛。
药材:苍术(三两)、川乌(炮制去皮脐)、草乌(炮制,各一两)、蝎梢(微炒,二钱五分)、天麻、细辛、川芎、两头尖(去皮)、白芷(各七钱)、防风(一两)、雄黄、乳香(各二钱)。
用法:研成细末,每次服用一钱,不拘时间,用酒调服。
独圣散:治疗五六天后出现身体反张、牙关紧闭。
药材:蝉蜕(五钱),研成粉末,用好酒一盏,煎滚后服用。
羌活防风汤:治疗破伤风,初期邪气盛且在体表。
药材:羌活、防风、川芎、藁本、当归、芍药、地榆、细辛、甘草。
用法:用水煎服。大便秘结加大黄以通下;服药后汗出不止,加白术、黄芪、防风(各二钱);若未见效,邪气入里,改用芎黄汤。
芎黄汤:邪气传入里证,大便秘结,通过通便泻下来治愈。
药材:川芎、黄芩(各二钱)、甘草(五分)。
用法:用水煎服。若未通便,去掉甘草,加羌活一钱、大黄三钱。
简便方:治疗破伤风。
干蜈蚣一条(炙),研成粉末,擦牙吐出涎液,症状缓解。
另一种方法:僵蚕(直的),炒后研末,用姜汁调服五分,灌服。多次调服,用鸡毛扫拭疮口,不要让疮口干燥。
又一种方法:草乌研成粉末,每次五分,用酒送服。
又一种方法:蝎梢七个,研成粉末,用热酒送服。
又一种方法:川乌、半夏、南星、天麻(等分为末),每次服用一钱,黑豆炒焦,淋酒后调服。
歌诀曰:半两当归配二钱蝎,合来捶碎同酒煎。务必软烂连渣嚼,一切伤疮保万全。鱼胶能治破伤风,先煮一钱封疮口。两许烧灰调酒服,麝香少许立成功。
有一人手臂生小疖子,挑破出血后感冒受风,有人说有大害,他不相信。夜里觉得手臂像水浸一样,病情逐渐加重危重,使用大剂量峻猛药物攻伐,忽然胸背肿大如碗。又配制真人活命饮十帖,配合牛黄,分三天服用,病情安定。
Vitiligo refers to the appearance of purple or white patches on the body, face, neck, and skin, without pain or itching. This is caused by wind pathogen invading and knotting between the skin and interstices (skin pores and muscle texture), leading to disharmony of Qi and Blood circulation.
Purpura-like vitiligo often occurs on the four limbs or presents as purple nodules on the body; this results from the stagnation and accumulation of wind-heat pathogen. The treatment method allows for the same prescription for both purpura-like vitiligo and vitiligo.
Main Prescription: Prepared Atractylodis Rhizoma (Cangzhu), Sophorae Flavescentis Radix (Kushen), Polygoni Multiflori Preparata He Shou Wu), Schizonepetae Spica (Jingjie Sui) (all in equal parts). Process into pills. The administration method is identical to the main pill prescription for Leprosy (Lifeng); it can also be taken for Vitiligo.
Four Spirits Powder (Sishen San): Treats purple and white vitiligo.
Ingredients: Realgar (Xionghuang), Orpiment (Cihuang), Sulfur (Liuhuang), Alum (Baifan) (all in equal parts).
Usage: Grind into powder. First, take a hot bath until sweating, wash the affected area clean with soap, then apply the powder by rubbing with cut and crushed fresh ginger root. (Repeat washing and rubbing every three days; five treatments will result in cure.)
Simple Formula: For Vitiligo.
Grind Sulfur into powder, mix with egg white, spread on cloth, and dry in the sun. When the patient sweats, rub the affected area with this cloth.
Another method: Realgar, Sulfur, Minium (Huandan), Lead Monoxide (Miduoseng), Arisaema Cum Bile (Nanxing) (all in equal parts), grind into powder, and apply to cloth as described above (also effective for wiping sweat spots.)
Note: This condition has three distinct etiological categories. If a sore or ulcer persists for a long time, covered by a white scab that blocks the pores, causing Yang heat to stagnate internally, generating wind due to extreme heat, this is an internal cause. If various sores do not heal, and moxibustion is used, causing heat toxin to attack inward and potentially generate wind, this is a neither-internal-nor-external cause. If injured accidentally by knives or scissors, or bruised/cracked from falls, or suffering from toxic sores, and exposed to wind during washing or applying medication, this is an external cause. External causes are more common. If the injury is small, like a bean, and suddenly attacked by wind pathogen at the muscle-skin level, it spreads to the meridians, causing alternating chills and fever, convulsions of the hands and feet, trembling and restlessness; gradually progressing to opisthotonos (body arched backward like a bow), trismus (lockjaw), inability to eat, severe abdominal pain, and if the pathogen enters the zang organs, death occurs within seven days. If the medicine hits the disease accurately, two or three out of ten may survive. Patients often fail to consider this consequence. If physicians lack experience and misdiagnose it as other diseases, none of the ten will survive. There are many among the wealthy who die without knowing their illness. A floating pulse indicates Taiyang channel involvement; a long and forceful pulse indicates Yangming channel involvement; a wiry pulse indicates Shaoyang channel involvement; a deep and rapid pulse indicates interior syndrome. Treatment is similar to that for Stroke (Zhongfeng) and Cold Damage (Shanghan).
Main Prescription: Atractylodis Rhizoma (Cangzhu, 4 qian), Aconiti Lateralis Radix Preparata (Chuanwu, 2 qian), Aconiti Radix (Caowu), Angelicae Dahuricae Radix (Baizhi) (1 qian each), Saposhnikoviae Radix (Fangfeng, 5 fen), Ligustici Chuanxiong Rhizoma (Chuanxiong, 5 fen), Gastrodiae Rhizoma (Tianma), Asari Radix et Rhizoma (Xixin) (3 fen each), Scorpio (Quanxie, 2 fen). Divide into two doses for decoction. Alternatively, grind into fine powder, take 2 qian per dose, mixed with hot wine; cover with blankets to induce sweating; if ineffective, repeat dosage.
Yuzhen Powder (Yuzhen San): Treats broken injuries to hands and feet, and contusions/trauma.
Ingredients: Pinelliae Tuber (Nanxing), Saposhnikoviae Radix (Fangfeng) (equal parts).
Usage: Grind into powder, mix with fresh ginger juice and wine, take 2 qian orally, then apply to the wound. For trismus and opisthotonos, administer with child's urine and wine.
Lingsha Pill (Lingsha Dan): Treats tetanus (broken injury wind) and all wind syndromes.
Ingredients: Clematis Root (Weilingxian), Cassiae Semen (Heichou, head powder only), Atractylodis Rhizoma (Cangzhu) (5 qian each), Polygoni Multiflori Preparata He Shou Wu), Cyperi Rhizoma (Xiangfu) (6 qian each), Boswellia Carteri Resin (Ruxiang, separately ground), Aconiti Radix (Chuannwu, peeled and de-seeded), Myrrha (Moyao, ground) (3 qian each), Cinnabar (Zhusha, 2 qian, ground), Glycyrrhiza Uralensis Legume (Zaojiao, roasted, peeled and de-fibered).
Usage: Grind into powder, crush the legume, soak in 2.5 sheng of wine for 3 days in spring/autumn, 2 days in summer, 7 days in winter. Extract juice, make paste, and decoct (can also be made into pills, 100 pills per dose, taken with wine.)
Rusheng Powder (Rusheng San): Treats broken injuries, stops bleeding and pain.
Ingredients: Atractylodis Rhizoma (Cangzhu, 3 liang), Aconiti Radix (Chuanwu, processed, peeled and de-navel), Aconiti Radix (Caowu, processed) (1 liang each), Scorpio Tail (Xieshao, lightly fried, 2.5 qian), Gastrodiae Rhizoma (Tianma), Asari Radix et Rhizoma (Xixin), Ligustici Chuanxiong Rhizoma (Chuanxiong), Syneilesis Rhizoma (Liangtoujian, peeled), Angelicae Dahuricae Radix (Baizhi) (7 qian each), Saposhnikoviae Radix (Fangfeng, 1 liang), Realgar (Xionghuang), Boswellia Carteri Resin (Ruxiang) (2 qian each).
Usage: Grind into fine powder, take 1 qian per dose, anytime, mixed with wine.
Dusheng Powder (Dusheng San): For cases after 5-6 days presenting with opisthotonos and trismus.
Ingredients: Bombyx Batryticatus (Chantui, 5 qian), grind into powder, take with one cup of good wine, boiled and consumed.
Qianghuo Fangfeng Decoction (Qianghuo Fangfeng Tang): Treats tetanus, early stage where pathogen is abundant and exterior.
Ingredients: Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Ligustici Chuanxiong Rhizoma (Chuanxiong), Ligustici Wallichii Rhizoma (Ben), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Shaoyao), Sanguisorbae Radix (Diyu), Asari Radix et Rhizoma (Xixin), Glycyrrhizae Radix et Rhizoma (Gancao).
Usage: Decoct in water. For constipation, add Rheum Palmatum (Dahuang) to purge. If sweating continues excessively after taking, add Atractylodis Macrocephalae Rhizoma (Baizhu), Astragali Membranaceus Radix (Huangqi), Saposhnikoviae Radix (Fangfeng) (2 qian each). If ineffective and pathogen moves interior, use Xionghuang Tang.
Xionghuang Tang: For pathogen transmitting to interior, with constipation; cure by promoting bowel movement.
Ingredients: Ligustici Chuanxiong Rhizoma (Chuanxiong), Scutellariae Radix (Huangqin) (2 qian each), Glycyrrhizae Radix et Rhizoma (Gancao, 5 fen).
Usage: Decoct in water. If no bowel movement, remove Gancao, add Qianghuo 1 qian, Dahuang 3 qian.
Simple Formula: Treats tetanus.
Dry Centipede (Wugong, one piece, roasted), grind into powder, rub on teeth to expel saliva, symptoms relieve.
Another method: Silkworm (Jiangcan, straight ones), stir-fry and grind into powder, mix with ginger juice, take 5 fen,灌 (force feed). Apply frequently, sweep the wound with chicken feather, keep moist.
Another method: Aconiti Radix (Caowu), grind into powder, take 5 fen with wine.
Another method: Scorpio tail (Xieshao, seven pieces), grind into powder, take with hot wine.
Another method: Aconiti Radix (Chuanwu), Pinelliae Tuber (Banxia), Arisaema Cum Bile (Nanxing), Gastrodiae Rhizoma (Tianma) (equal parts, grind into powder), take 1 qian per dose, with scorched soybeans soaked in wine.
Song says: "Half liang of Danggui with two qian of Scorpion, beaten together and decocted with wine. Must be soft and chewed with dregs, ensuring safety for all wounds. Fish glue treats tetanus, boil one qian first to seal the wound. Two xu burned to ash, mixed with wine, a little Musk achieves success immediately."
A case: A person had a small boil on the arm, which was lanced and bled, leading to wind invasion. He was warned of serious harm but did not believe it. At night, his arm felt like it was immersed in water, and the condition became critical. After administering large doses of harsh attacking medicines, his chest and back suddenly swelled like a bowl. Then, Ten Prescriptions of Zhenren Huoming Yin were prepared, combined with Calculus Bovis (Niuhuang), administered over three days, resulting in stabilization.